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To Submit a survey map for review, please complete this form.
To ReSubmit a survey map:   Click Here

Note: Fields marked with an asterisk (*) are required.
*Surveyor Last Name:
*LS Number: LS
*Client Name:
*Contact Person:
*Phone Number:
*Email address:

Map Information:
*To submit values for Township / Range / Section / Breakdown, enter the number of value sets that pertain to this survey:
*Type of Map: *Fees Paid By:
*Map Size: *Survey Date

*Custom Map Size:

 (Approval required)

*No. of pages (Documents to Upload)
Upload Maps:

File Name1:
File Name2:
File Name3:
File Name4:
File Name5:
  • Use "Browse" to locate the file(s) to be uploaded.
  • Files that are attached must be in Adobe PDF format.

Check the box of those items that apply to this map:
Covenants    Consent Affidavit    Supporting Documents 
Special Instructions / Additional Comments:

Image Verification*Please enter the letters in the image:


Guidelines for Map Submissions:

  • We will accept all maps in digital pdf format for the review process. Please keep file sizes as small as possible.
  • Fees need to be paid by check or by phone with a credit card. We accept Visa or Master Card.
  • Fill out the form and submit the map.
  • If corrections to the map need to be addressed either a redline indicating the issues found will be sent to the surveyor or discussed by phone.
  • Corrections will be made by the surveyor and resubmitted for final review.
  • When the final review process is complete please submit a stamped mylar with a wet signature by mail or in person for filing.


Douglas County Surveyor
Randy Smith

Survey Information
Terrie Franssen

Phone: (541)440-4279